Arthroscopic Osteo-chondral Auto-Graft Transplantation for Focal Cartilage Defect of the Medial Condyle of the Femur | ||||
Al-Azhar International Medical Journal | ||||
Volume 2024, Issue 4, April 2024 | ||||
DOI: 10.58675/2682-339X.2354 | ||||
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Authors | ||||
emad zayed1; Mohamed Abulsoud![]() | ||||
1orhopaedic department, faculty of medicine . al azhar university | ||||
2Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
3Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Assiut, Egypt | ||||
Abstract | ||||
Purpose: To evaluate the efficacy and outcomes (functional and radiological) of arthroscopic Osteo-chondral Auto-graft Transplantation (OAT) for focal cartilage defects of medial condyle of the femur. Method: Twenty patients, Seventeen males (85%) and three females (15%), with a mean age of (24.95±6.6) and mean body mass index (BMI) (24.6±2.46) and a full-thickness chondral lesion of the articulating weight bearing surface of the medial femoral condyle, were treated by (OAT) from non-weight bearing region of the lateral femoral condyle. Our patients were evaluated using Lysholm score pre-and postoperatively. Post-operative and pre-operative plain radiographs of the affected knee and knee MRI were done for all patients (n=20). Results: Following a median follow-up period of 32±14 months (ranging from 13 to 46 months), there was a highly statistically significant increase in post-operative Lysholm Score (84.2±10.9) compared with pre-operative Lysholm Score (45.2±14.6) with P value ( Conclusion: The (OAT) although technically demanding, in this work, it was demonstrated that Osteo-chondral Auto-graft transplantation is an effective method for treating focal cartilage defects on the weight-bearing surface medial condyle of the femur, even in cases with significant defects (up to 4 cm2). Medial femoral condyle; Osteo-chondral Auto-graft Transplantation; Osteo-chondral Defects | ||||
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